Flexible Retirement Account. Application Form and Mandate for a Self Invested Personal Pension Plan Member Bank Account
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1 Flexible Retirement Account Application Form and andate for a Self Invested Personal Pension Plan ember Bank Account
2 Self Invested Personal Plan ember Bank Account Application Form and andate For action by Scheme provider only Sterling scheme master number US dollar $ scheme master number Euro scheme master number Account number allocated Please complete this form in BLOCK CAPITALS and black ink and return it to: Cater Allen Private Bank, 9 Nelson Street, Bradford, B1 5AN in the pre-paid envelope provided. If you need any help to complete this form please call us on Scheme details Applicant to complete Name of Corporate Trustee Name of ember Name of Scheme 2 New Account details Applicant to complete Please tick which one Account you wish to apply for, indicate Over the counter Postal deposit the amount to be deposited and whether a Cheque and / or Chequebook Paying-in Book Paying-in Book Paying-in book is required. SIPP Bank Account Reserve Account for Pensions US ollar $ Reserve Account for Pensions Euro Term eposit Account (chequebooks are not available on currency or Term eposit accounts.) Cheques should be made payable to the name that you wish your new Account to be in. cash, postal orders or third party cheques accepted. All eposits from (please tick the appropriate box): Registered Pension Scheme Pension Contributions Transfer(s) from other Registered Pension Scheme Other If Other, please specify the source of the funds If Other (please specify) Where pension contributions are to be made please indicate from the list below, from which sources your contributions have been funded: Income from employment Gift Income from savings / investment Property sale Lottery and other winnings Inheritance ivorce settlement Other Anticipated contributions pa Name to be shown on new Account (to appear on cheque and / or paying-in book where applicable 22 characters per line) 3 Professional Adviser s details Applicant to complete Have you been introduced by a Professional Adviser? es If es, please complete the details below. If, go to section 4. Name of company Address Telephone Postcode PART OF THE SANTANER PRIVATE BANKING GLOBAL IVISION CAPB 0486 AR 10 L
3 SIPP ember Bank Account Application 3 Professional Adviser s details (continued) Applicant to complete Copy statements will be provided at the same time as they are provided to the Corporate Trustee as detailed in section 1 of the Application Form and andate To Support SIPP Plan Bank accounts to which this application is linked. Contact name oes your Professional Adviser require copy statements for this account? es 4 Personal details of Scheme ember Applicant to complete In order to ensure that our information is always up to date, and to comply with Anti oney Laundering Regulations, please complete the form below. In some circumstances we may not be able to process this request without this information. Are you an existing customer of Cater Allen Private Bank? If es please supply your existing account number es r rs s iss Other If Other please state Forename(s) iddle Name Surname Any other name you have been, or are, known by ate of birth ale Female Nationality o you have dual nationality? es If es please specify Current home address (permanent residential address) Postcode Country of residence I confirm that a CVIC (Confirmation of Verification of Identity Certificate) is being supplied 5 Term deposit only Applicant to complete To open a Term eposit, you must send your funds to us via electronic transfer we cannot accept a cheque for the deposit amount. On approval of your application to open a Term eposit, we will contact you to confirm the paying-in details and process. Please select term required 1 week 2 weeks 3 weeks 1 month 2 months 3 months 4 months 5 months 6 months 7 months 8 months 9 months 10 months 11 months 12 months Would you like us to automatically re-invest your Term eposit at maturity into a new Term eposit for the same term and the same deposit? es If, please complete the section below with the details of the Account where you wish your deposit and interest to be paid to at the end of the term (UK accounts only). If es, would you like us to include your interest in your new Term eposit? es If, please complete the section below with the details of the Account where you wish your interest to be paid to at the end of each term (UK accounts only). UK Account to which matured deposit & interest, or interest only, is to be paid to at the end of term: Sort code Account number Account name Name of bank Bank address Postcode This transfer will be made by BACS. If you require it to be sent via sameday CHAPS transfer, then you must tell us this before midday on the day of maturity. CHAPS transfers incur a fee, please see Banking Tariff for details. 2 CAPB 0486 AR 10 L
4 SIPP ember Bank Account Application 6 Account andate Applicant to complete We CORPORATE TRUSTEE The Corporate Trustee and NAE OF EBER hereby apply to open a Self Invested Personal Pension Plan ember Bank Account ( The Account ) with Cater Allen Private Bank ( The Bank ) in accordance with the published Terms and Conditions and in accordance with the Account andate below, which we acknowledge having received and to which we agree to be bound and any subsequent amendments which the Bank may inform us of from time to time. We hereby certify that: A We are duly authorised by the Trust eed of the Scheme to open the Account and operate it as set out in this andate and we hereby indemnify A the Bank against any losses suffered as a result of any operation of the Account in accordance with this andate which is found to be in breach of A the Trust eed. B In the event of the death, incapacity or inability to act of the ember, the Bank is able to pay or deliver all money, securities, deeds or documents A or any other property which it holds, to the order of the Corporate Trustee. C In the event of the inability of the Corporate Trustee to act the Bank will suspend the operation of the Account until such time as a replacement A Corporate Trustee is appointed and becomes a party to the Account. The liability of the Trustee for any indebtedness arising from time to time on the Account shall be limited to the assets held within that part of the Trust s Personal Pension Plan which is referable to the ember. Authorised Signatories The Authorised Signatories of the Corporate Trustee will be as provided for in section 6 of the Application Form and andate to support SIPP Plan Bank Accounts applicable to the Scheme. Scheme master number Scheme currency Sterling Euro $ US ollar Please act on the signature(s) of the Authorised Signatories of the Corporate Trustee (see above) and as set out in section 6 of the above Application Form and andate to Support SIPP Plan Bank Accounts, in respect of cheques or other orders for payment on the Account, and as authority for the sale, purchase, delivery or other dealings with securities, bills, coupons, documents, boxes, packages and their contents and other property at any time held by you. All transactions on this Account must be signed by ember and the Corporate Trustee Or Corporate Trustee only Please tell us how many Authorised Signatories are required to sign at any one time on behalf of the Corporate Trustee We hereby authorise the Bank to provide the Scheme s Auditors with such information as they may request concerning the Self Invested Personal Pension Plan ember Bank Account and any transactions which may have taken place via the Account. The above authority shall remain in force until the Bank receives written notice of its revocation, notwithstanding any change in the constitution (or name) of the Scheme and shall apply notwithstanding any change in the identity of the Trustees or the admission of any new Trustee or Trustees. We authorise the Bank to send copies of all statements issued in respect of the Account and to disclose details of that Account to any Professional Adviser, as advised of from time to time, or their successors in title. We acknowledge that such Professional Adviser may receive commission from the Bank in respect of the Account. The Bank is hereby authorised to comply with all withdrawal instructions given by facsimile, providing that such instructions are signed in accordance with the current andate to operate the above Account and the Bank may act upon such instructions without the need for further enquiry. The Bank may act upon such instructions immediately and without further enquiry unless it has cause to be suspicious as the nature and content of the request. Fees We hereby authorise the Bank to deduct from the Self Invested Personal Pension Plan ember Bank Account such management fees and charges as may be notified from time to time to the Bank under the sole signature of the Corporate Trustee. Closure of Account The Bank will not accept notification of closure of this Account unless it is authorised by the correct signatories as detailed on the valid andate that is in existence at that point in time. 7 ata Protection Statement Applicant to complete Explanatory note: If this application is made in joint names I in the statement below should be read as we where appropriate. This statement relates to the information I have given in this application and to any other information which I provide to you (Cater Allen Private Bank) or which you hold on me. I confirm that I am entitled to disclose information about any parties named on the application form. Whether or not I become a customer, all the information I give to you Cater Allen Private Bank or you hold on me including transactional data, may be shared with and used by the group of companies. Whether or not I become a customer, all the information I give to you Cater Allen Private Bank or you hold on me including transactional data, may be shared with and used by the group of companies to which Cater Allen Private Bank belongs (the Santander group), your associated companies, service providers or agents who may be located in other countries. I understand that you will ensure that my information is only used in accordance with your instructions and your own strict internal confidentiality policies. If you transfer my information to another country, you will also ensure that it is given the same levels of protection as required under the UK ata Protection Act. I agree that my information may be used in this way for administration purposes and to: Provide and run the account or service I have applied for and develop and improve your products and services. Invite me to take part in market research surveys. If I would prefer not to be included in market research I can tick this box. For all Cater Allen Private Bank Customers Before you can open my Account you will check my details with Fraud Prevention Agencies, and may make searches at Credit Reference Agencies who will supply you with information including information from the Electoral Register, for the purposes of verifying my identity. Scoring methods may be used to verify my identity. A record of this process will be kept that may be used to help other companies to verify my identity. If I give you false or inaccurate information and fraud is identified, details will be sent to Fraud Prevention Agencies. Law enforcement agencies may access and use this information. ou and other organisations may search and use the records held by Credit Reference and Fraud Prevention Agencies to prevent crime, fraud and money laundering and for example: to check details provided on applications for credit and credit related or other facilities to verify my identity if I or my Financial Associate applies for other facilities to help make decisions about credit and credit related services, insurance proposals and claims, and all types of facilities for me, my Financial Associate or Partner / Spouse and other members of my household to check the operation of credit and credit related Accounts and to manage Accounts and facilities, including tracing debtors and recovering debt to help make decisions about job applicants and employees 3 CAPB 0486 AR 10 L
5 SIPP ember Bank Account Application 7 ata Protection Statement (continued) Applicant to complete to undertake statistical analysis and system testing. ou and other organisations may search and use from other countries the information recorded at Fraud Prevention Agencies. Further information on the Credit Reference Agencies and Fraud Prevention Agencies you use is available by telephoning your Agents on ou may also give essential information about my Account and cards (if any) to others if necessary to run my Account and for regulatory purposes. Information about me will be kept after my account is closed. I understand I have the right to see certain records you hold about me on payment of a fee* and that an information sheet (Subject Access Info sheet) explaining my rights is available by calling *Please see Banking Tariff for details. SIPP Bank Account and Reserve Account Applications I understand that when you assess this application, and any future increase in my credit and / or overdraft limit (this does not apply to those under 18), you will use the information for credit assessment, which may include credit scoring. ou may make any enquiries relating to me and my business that you consider necessary (e.g. from another financial institution) and search the files of Credit Reference. Agencies at my business and home address, which will keep a record of each search. This could impact on my ability to obtain credit elsewhere within a short period of time. etails about this application (whether or not it proceeds) may be recorded at the Credit Reference Agencies. An association between joint applicants or between myself and any other person will be created at the Credit Reference Agency. This will link our financial records, each of which will be taken into account in all future applications by either or both of us. If an association already exists then my applications will be assessed with reference to these associated records. This situation will continue until one of us successfully files a disassociation at the Credit Reference Agency. etails about me, my business and the conduct of this Account may also be passed to Credit Reference Agencies. When appropriate, the Credit Reference and / or Fraud Prevention Agencies will also record details of my agreement with you, the payments I make under it and any default or failure to keep to its terms and any deliberate non-payment following a change of address without notice. The Credit Reference Agencies and / or Fraud Prevention Agencies may share my information with other organisations when credit decisions are being made, for the purposes described in the section For all Cater Allen Private Bank customers above. 4 CAPB 0486 AR 10 L
6 SIPP ember Bank Account Application The Bank requires the ember and the Corporate Trustee to sign this Application to authorise the opening of this Account, in accordances with the Application Form and andate To Support SIPP Plan Bank Accounts, and to authorise the Authorised Signatories thereunder to sign on its behalf. If the ember is to be an Authorised Signatory on this particular SIPP Plan Bank Account then please indicate this below. By signing this Application Form we agree that: 8 eclaration Applicant to complete We have read and understand the ata Protection Statement, and agree that you can use our information as stated in the Statement We have received and accept the Terms and Conditions of this Account and agree to also be bound by any subsequent amendments advised to us by the Bank from time to time The information contained in this Application is true and correct Cater Allen Private Bank is duly authorised to operate the Account(s) The ember s personal details, as completed in section 4 are true and correct. This member is joining the Sterling / US ollar / Euro* scheme, master number (*please delete as appropriate) Please see the Application Form and andate To Support SIPP Plan Bank ember Accounts linked to the above Scheme number for the Authorised Signatories of the Corporate Trustee to this account. Corporate Trustee Position CORPORATE TRUSTEE ate Position CORPORATE TRUSTEE ate ember Is the member to be an authorised signature on this particular SIPP Plan Bank Account? es ate ember Is the member to be an authorised signature on this particular SIPP Plan Bank Account? es ate 5 CAPB 0486 AR 10 L
7 SIPP ember Bank Account Application Cater Allen Private Bank is able to provide literature in alternative formats. The formats available are: Large Print (as recommended by RNIB), Braille, Audio Tape and PC isk. If you would like to register to receive correspondence in an alternative format please contact us on For the hard of hearing and / or speech impaired please use the Typetalk service via Cater Allen Private Bank is the name used for banking services provided by Cater Allen Limited. Registered Office: 2 Triton Square, Regent s Place, London, NW1 3AN. Registered in England number Authorised and regulated by the Financial Services Authority, except in respect of its consumer credit products for which Cater Allen Limited is licensed and regulated by the Office of Fair Trading. FSA registration number Cater Allen Limited is part of the Santander group. Cater Allen and the flame logo are registered trademarks. All deposits held with Cater Allen Private Bank are fully and unconditionally guaranteed by Santander UK plc. Calls may be recorded or monitored. Telephone CAPB 0486 AR 10 L
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